DR. SCOTT RANDALL HENNEMAN (MD) – Diagnostic Radiology Physician, NPI 1013173814
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,262 DIAGNOSTIC RADIOLOGY in WA
Provider Addresses for DR. SCOTT RANDALL HENNEMAN (MD)
1304 FAWCETT AVE STE 100
TACOMA, WA 984021900
Phone: (253) 761-4200
Fax: (253) 383-3553
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $157.
Total Amount is formed as General ($157) + Research ($0) + Ownership ($0) = $157.
Last reported payment date: 2023-06-21 • Largest payer in this snapshot: Philips Electronics North America Corporation ($111).
Total Amount
$157
General + Research + Ownership
Payments
2
Total payment records
General Amount
$157
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Philips Electronics North America Corporation | $111 |
| Change Healthcare Technologies, LLC | $46 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-07-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140709000579 | I | Diagnostic Radiology | WA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 70450 | Ct scan head or brain without contrast | 830 | 800 | $0 |
| 72125 | Ct scan of upper spine without contrast | 294 | 288 | $0 |
| 71045 | X-ray of chest, 1 view | 236 | 227 | $0 |
| 70498 | Ct scan of blood vessels of neck with contrast | 209 | 209 | $0 |
| 70496 | Ct scan of blood vessels of head with contrast | 208 | 208 | $0 |
Insurance plans in this area (ZIP 98402)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | WA | 71250 | CT scan chest | 24 | 24 |
| DIAGNOSTIC RADIOLOGY | WA | 73562 | X-ray of knee, 3 views | 19 | 17 |
| DIAGNOSTIC RADIOLOGY | WA | 73630 | X-ray of foot, minimum of 3 views | 17 | 16 |
| DIAGNOSTIC RADIOLOGY | WA | 74177 | CT scan of abdomen and pelvis with contrast | 13 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | PA | |
| Diagnostic Radiology | WA | |
| - | WA | |
| - | WA | |
| Diagnostic Radiology | PA | |
| Interventional Radiology, Diagnostic Radiology | WA | |
| Diagnostic Radiology | WA |
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